Solheim Lutheran Home - Los Angeles Nursing Home
General Information
UPDATEFederal Provider Number
555432
Provider Name
SOLHEIM LUTHERAN HOME
Provider Address
2236 MERTON AVE.
LOS ANGELES, CA 90041
LOS ANGELES, CA 90041
Provider Phone Number
(323) 257-7518
Provider SSA County
200
Provider County Name
Los Angeles
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
76
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOLHEIM LUTHERAN HOME
Date First Approved to Provide Medicare and Medicaid services
1990-05-15
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46644
Reported LPN Staffing Hours per Resident per Day
0.86575
Reported RN Staffing Hours per Resident per Day
0.39110
Reported Licensed Staffing Hours per Resident per Day
1.25685
Reported Total Nurse Staffing Hours per Resident per Day
3.72329
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02945
Expected CNA Staffing Hours per Resident per Day
2.57749
Expected LPN Staffing Hours per Resident per Day
0.58783
Expected RN Staffing Hours per Resident per Day
0.91543
Expected Total Nurse Staffing Hours per Resident per Day
4.08075
Adjusted CNA Staffing Hours per Resident per Day
2.34798
Adjusted LPN Staffing Hours per Resident per Day
1.22242
Adjusted RN Staffing Hours per Resident per Day
0.31923
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67781
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2012-12-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2011-09-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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